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About the role
Key responsibilities & impact- Educate HCPs on patient support programs, including access and reimbursement support tools and services
- Educate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distribution
- Provide local expertise regarding national/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes
- Liaise with AbbVie’s Access and Reimbursement support center to update HCPs on Rx status and program eligibility
- Collaborate with AbbVie’s Access and Reimbursement Support Center to relay prescription status and program eligibility updates
- Report back payer trends related for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate providers within territory
- Remain current on key managed care, reimbursement, and policy activities
Requirements
What you’ll need- Bachelor’s degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience required
- 3+ years of experience in specific therapeutic area with experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement and excellent territory and account management skills
- Extensive experience educating others on payer processes, requirement for coverage, and other access related situations for specialty medicines
- Strong track record of leadership within current role
- Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care
- Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics
- Strong understanding of drug acquisition and dispensing in the specific therapeutic area space (Specialty Pharmacies, Specialty Distributors and white-bagging, etc.)
- Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services
- Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion
- Valid driver’s license
- Ability to pass a pre-employment drug screening test and meet safe driving requirements
- An essential requirement to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory
- Responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so.
Benefits
Comp & perks- paid time off (vacation, holidays, sick)
- medical/dental/vision insurance
- 401(k) to eligible employees
- long-term incentive programs
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
codingbillingpayer processesreimbursement dynamicsdrug acquisitionspecialty pharmacyspecialty distributionclaims submissionmanaged careaccount management
Soft Skills
leadershipcommunicationrelationship buildingterritory managementeducational skills
Certifications
Bachelor’s degreeHCIR credentialing
